A high-definition camera is installed on the microscope to directly capture the surgical field of view under the microscope.
The video barrage function is turned on. In order not to affect viewing, the barrage is moved to a special area below the video.
Because we didn’t meet each other, it was just an online meeting, so everyone was free and the barrage immediately became lively.
"Holy shit, what's going on? Don't anastomose blood vessels first, but first anastomose tendons. Is this a newbie?"
"Well, I should be a newbie."
"Would it be funny to have a novice live broadcast for a meeting of this level?"
"I sponsored the conference, so I need to advertise."
"There is no introduction from which hospital it is from."
"Quiet!"
"Please look at your hand speed."
"In a few seconds, a tendon is connected perfectly. Newbie?"
"Newbies have this speed."
"This order is not blood vessel priority, but hierarchical order. Most experts would not dare to play like this."
"Sit tight on the bench!"
"The blood vessels are beginning to anastomose!"
"Whether you are a novice or not, you can tell at a glance the quality of the vascular anastomosis."
The last time it was a replantation of a baby's amputated finger, the thin blood vessel wall limited the speed of the hand. This time the anastomosis of the blood vessels is different, it is an adult's, not to mention the blood vessels of the forearm, the speed can be accelerated.
"Can you tell the height of the blood vessels in your forearm? Go to bed."
"A few seconds again, a few seconds a stick, did you read that correctly?"
"Nerve, the nerve has been anastomosed, prepare to anastomose the median nerve."
"Damn! Are you going to suture the membrane with the membrane?"
"After five sections of separation, you dare to suture the membrane and commit suicide?"
---
"Are you crazy? You want to use perineurial suturing?" Song Zimo asked in a low voice.
Old Han touched his chin, and his fingers were already tapping on his thighs. He was a little confused: "This kind of five-section separation, using perineurial suture method, is unwise. What on earth is this kid going to do?"
Lao Han knew that colleagues across the country were watching the live video of the surgery. But Yang Ping didn't know yet, and couldn't tell him for fear of increasing his pressure.
Pericinal suture method? Hong Zhigang unscrewed the cap of the mineral water bottle, took a sip, and moved closer involuntarily. For this kind of replantation of a five-segment severed limb, epicardial suture must be chosen, and no one will use pericinal suture method. The reason is simple.
It's too time-consuming. For example, the three main nerves of the upper limbs - the median nerve, the ulnar nerve, and the radial nerve, each nerve is divided into bundles, usually with more than a dozen bundles.
Just like a thick wire is made up of more than a dozen thin wires. When suturing the outer membrane, you only need to sew the outer skin of the thick wire in one circle. When suturing the membrane, you need to sew the outer skin of each thin wire in one circle.
.
With the adventitial suture method, generally twelve stitches can solve the problem. However, with epiperitoneal suture, the number of suture stitches is increased by more than ten times. What is this concept? If one suture is performed using the adventitial suture method, then ten sutures are needed with the epiperitoneal suture method.
A few.
This kind of surgery itself takes a long time, more than ten hours, dozens of hours, which is normal. It also uses perineurial suturing, and I'm afraid it may not be completed by tomorrow. How could this junior brother make such a low-level mistake?<
/p>
Hong Zhigang couldn’t understand it, and neither could anyone.
Everyone wants to see the fate of this death-seeker! Five-stage reimplantation is already challenging the limits of the industry. He also needs to suture the membrane. Blind confidence will capsize the ship.
It will definitely fail, but it is nothing more than sensationalism. Hong Zhigang thought, most people think so.
"The higher you fly, the harder you fall!"
---
Live video continues!
The tiny perineurium is clamped by microscopic tweezers, and the needle and thread seem to repeat along the predetermined trajectory, never deviating, piercing, piercing, piercing, piercing again, pulling together, and tying.
The air in the operating room seemed to be solid. No one spoke, and even walked softly, for fear of disturbing Yang Ping.
Yang Ping breathed evenly. In the system, the super intensive training of five thousand severed finger replantations has allowed him to adjust his body to a comfortable state, neither nervous nor relaxed, and his movements are neither stiff nor random.
.
This is a high degree of coordination between the brain and muscles.
Every instruction from the brain passes through the nervous system and is transmitted to the muscles. The muscles control the fingers, and the fingers control the equipment. From the brain to the tip of the equipment, there is almost no loss of instructions.
His hands were getting faster and faster, and Song Zimo finally couldn't keep up with the rhythm. He placed the microscissors next to Yang Ping's right hand. After Yang Ping finished sewing a stitch, he changed the tweezers to scissors and cut the thread. Then he changed the tweezers back and continued suturing.
.The eyes did not leave the field of vision during the entire process, and there was not a single mistake in the exchange of tweezers and scissors.
Su Yixuan concentrated her attention on the next move, trying to understand the meaning of Yang Ping's every move and look.
She held her breath, feeling nervous and excited at the same time. Nervous because she had never worked so hard to cooperate with an operation, but excited because she could keep up with his pace.
"Cao Nima, speed? Isn't that right? The video is fast forwarding."
"I also discovered it, hurry up! Damn it, can this be faked?"
"How can we fast forward the live broadcast we agreed on?"
"It's a live broadcast!"
"Who are you fooling? We are located in the imperial capital, the hospital is one of the top three in terms of reputation, and the hospital's number one anastomosis expert cannot reach this speed. Why are you saying there is no fast forward?"
"Don't make silly comparisons. Brains are a good thing. Some people don't have them! Look clearly. In the same shot, the other hands are obviously at human speed. Those hands can't keep up with the rhythm. I want to ask, what about fast forwarding?
Two hands in the same shot, give me one fast forward and one normal - I can’t do it myself, don’t say others can’t do it either.”
"Wow, wow, my eyes were dazzled. I thought it was a bronze, but it turned out to be a king."
"I haven't seen such a smooth operation in many years."
"There is no useless or unnecessary movement, every stitch is like a precise machine sewing, perfect! Art! Please accept my knee with damaged meniscus, oh, my great God."
---
The first fracture, blood vessels, nerves, and tendons were all perfectly sutured, and the second fracture began. There were five fractures: two fractures on the forearm, one fracture on the palm, and two fractures on the fingers. The thumb was still missing and was not found at the scene.
Each fracture of the forearm needs to be anastomosed with six blood vessels, three nerves, and seventeen tendons; and there are even more anastomoses on the palms and fingers, and they are all small blood vessels and nerves.
Hong Zhigang held the mineral water bottle in his hand and tried to unscrew the cap several times, but he still didn't do it. He felt a little anxious and uneasy. In the video, the two hands were almost a pair of hands continuing the operation.
What happened to this junior brother in these years? Microsurgical operations have become so superb. Ten years ago, the mentor resigned from the position of director, and his successor should have been Han Jiangong. Hong Zhigang used some small tricks.
Han Jiangong was forced to leave the Sixth Academy of Magic City. It was logical that Hong Zhigang became the successor.
Hong Zhigang's lips trembled. In fact, he didn't want to do that. Later, the situation developed out of control, which resulted in the junior brother being forced to run away.
He always wanted to explain to Han Jiangong and say sorry. But in the past ten years, the two of them have not contacted each other again. Even in academic meetings, they just smiled and said hello like strangers.
This time, when I received an invitation from the G city government to remotely guide the rescue operation, Hong Zhigang did not call Han Jiangong.
Hong Zhigang took out his mobile phone and flipped through the address book. When he saw Han Jiangong's number, he smiled bitterly. He was undergoing surgery. Besides, he might have changed his number long ago.
"Teacher Hong!" A student came over and asked softly with his head lowered.
Today is Sunday. Except for the doctors on duty, all other doctors are participating in the online conference in the conference room. The No. 6 Hospital in Shanghai is the organizer.
"What's the matter?" Hong Zhigang recovered his thoughts.
"The participants strongly requested that the live video broadcast be continued!" the student said.
Hong Zhigang looked at the screen and said, "Isn't the video always live?"
Students said: ‘They are worried that they will be cut off if they take too long.’
"Okay! Go ahead."
"What about other meeting items?"
"Compression! Explain it clearly to everyone."
"Okay!"
---
Barrage:
"Excited! Blockbuster! Coca-Cola fries are ready."
"The replacement has been found and the mobile phone has been turned off."
"I have a weak question, should I be able to compete for the Golden Knife Award at this level?"
"Yes, I want to ask too."
"Which hospital?"
"There is currently no information."
"Nima, emergency surgery, emergency surgery at this time."
"If you don't want to go, let the director do it."
"I am the director!"
"Let the dean do it."
"The director is engaged in obstetrics and gynecology."
---
The barrage was already burning like a raging fire, and the lively atmosphere exceeded any similar online conference in the past. As soon as Hong Zhi turned around, everyone behind him was staring at the screen, and no one left. Even if someone occasionally went to the bathroom, they would run, run.
Come.
Old Han had a smile on his face, humming a Peking Opera tune in his mouth, tapping his fingers on his thighs, and turned to look at Yang Ping - this kid actually dares to play like this, if I were twenty years younger,
I don’t dare to play like this.
The anesthesiologist also turned his head to look at the screen from time to time, but due to his duties, he immediately focused on the patient's monitoring screen.
Su Yixuan's eyes secretly glanced at Yang Ping from time to time. She didn't know why she was so brave today. Anyway, he was focused on the operation and couldn't see her, so he cast his gaze over again.
The spacious conference room in the surgical building of Sanbo Hospital was already crowded with people. Official media such as the city newspaper and the city TV station were invited to enter legally. Some other reporters, such as online media, became
Those who serve tea and water have already been mixed in.
For such a big event, everyone wants to grasp fresh information as soon as possible. You know, for some websites, a heavyweight eye-catching news can bring immeasurable traffic.
Secretary Luo is sitting in the middle of the front row, next to Dean Xia, and lined up on the left and right are the armed police, the Public Security Bureau, the Health Bureau, the daily newspaper, and the TV station---
Secretary Luo was very nervous. He had been in politics for many years and had experienced and practiced stability far beyond anyone else. He had handled countless public incidents, but he was still very nervous at this time.
After the accident, the first deputy mayor went to the scene to direct the rescue; several other leaders of the city government went to various hospitals to direct the rescue. Secretary Luo was assigned to Sanbo Hospital.
"How about a drink of water?" Dean Xia pointed to the mineral water.
Secretary Luo found that the bottle in front of him had not been opened yet, and he had not drank any water.
Slowly unscrew the lid, take a sip, and cough a few times.
The operation continues!
The barrage continues!
"Start palming."
"The rhythm is clear."
"After the palm, there are five fingers, two-jointed, which is equivalent to ten fingers. My scalp is a little numb!"
"It's four fingers, two joints, equivalent to eight."
"Where's the thumb?"
"Didn't you read the medical record? The thumb was not found at the scene, so it may have to be repaired."
Disabled repair means that there is no finger connection at the broken end, so the wound can only be trimmed and sutured directly.
